HomeMy WebLinkAbout210461 07/05/2012 a CITY OF CARMEL, INDIANA VENDOR: 202000 Page 1 of 1
ONE CIVIC SQUARE MIDWEST BRAKE WHEEL, INC CHECK AMOUNT: $717.67
ra CARMEL, INDIANA 46032 PO BOX 2933
INDIANAPOLIS IN 46206 -2933 CHECK NUMBER: 210461
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1221650077 709.20 REPAIR PARTS
2201 4237000 1221670037 33.88 REPAIR PARTS
2201 4237000 1221670059 -25.41 REPAIR PARTS
DWEST BRAKE WHEEL, INC. INVOICE DATE
06/13/2012
INVOICE NO. PAGE
1140 S. West Street P.O. Box 2933 122'1650077 1
INDIANAPOLIS, IN 46206 -2933 CUSTOMER NO. BRANCH
Phone; (317) 632 -4487
www,mwbrake.com 10099 1*
SOLD DITY CAR MEL SHIP CITY OF CARMEL
TO STREET DEPT TO STREET DEPT
3400 W 131ST STREET 3400 W 131ST STREET
WESTi =IELD IN 46074 WESTI=IELD IN 46074
PLEASE REMIT TO: P.O. BOX 2933 INDIANAPOLIS, IN 46206 -2933
CUSTOMER P.O. R/S ORDER NO.
TRUCK200 996056 MON (317) 733 -2001 JL 001/00 001
QUANTITY PART NO. I PRICE/PER EXTENSION
4 DR X60793B 16.5 X 7 BALANCED DRU 204.55 98.35EA 393.40
8 LS 301 1EX ROCKWELL... Q+ 16.5x7 50.81 E:XC 23. 28EA 186.24
8 LS CLASSQP -C1 CORE ROCKWL 4707QP 27.45'CHG 12.00EA .96.00
4 EU VHD2769SHD ROCKWELL' "Q" BRAKE KIT 17.90 8.39EA 33.56
################'4# #1t
OUR DELIVERY OUR DELIVERY
4 MER A13236Q2123 ROCKWELL DUST SHIELD B/O
ORDER PICKED BY: JI /B'F
EFFECTIVE 5/1/201 WE WILL NO LONGER GROUP 4515Q
CORES WITH 4707QP CODES. ASK YOUR SALESMAN
z
CORES MUST BE RETURNED WITHIN 90 DAYS.
FREIGHT TAXABLE SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
709.20 E IN 0.00 709.20
PAYMENT TERMS: Open accounts due and payable on or before the 10th day of the month following the
date of purchase. Any account beyond these e b' U b ecR to I d_i S t�h ld. A 1 -1/2 service charge per
CUSTOMER SIGNATURE month will be charged on pas[ due balances. M 1C
04: 13 PA INE000001~. YY'`f 0 /INT00000 -•7
uV OWEST BRAKE W ER, VC. INVOICE DATE
r i INVOICE NO. PAGE
1140 S. West Street P.O. Box 2933 3120 Congressional Pkwy. 1221670059 1
INDIANAPOLIS, IN 46206 -2933 FT. WAYNE, IN 46808 CUSTOMER NO. BRANCH
Phone: (317) 632 -4487 Phone: (260) 482 -5243
www.mwbrake.com (800) 944 -9433 1 10099
1
SOLD OF CARMEL SHIP CITY OF CARMEL
TO STREET DEPT TO STREET DEPT
3400 W 131sT STREET 34.00 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 45074
PLEASE REMIT TO: P.O. BOX 2933 INDIANAPOLIS, IN 46206 -2933
CUSTOMER P.O. R/S ORDER NO.
896566 MON (317) 733 -20101 JB 001/00 001
QUANTITY PART NO. I I PRICE/PER I EXTENSION
3-- EU F_- 2769HD MEGA --PLUS HARDWARE KIT 8.47EA 25.4-1CR
�c�c ?Y•:1: *YF *;e yr. %K :K *�:>K *%K :K>1c
**CREDIT MEMO **CREDIT (MEMO
=K %f;: %K ?t: :K ;X :Y. �'C >Y•. ;iC %i< :,t K
ORDER PICKED BY: Jb
EFFECTIVE 5/ "1/2010 WE WILL NO LONGER GROUP 4515Q
CORES WI7'H 4707QP CORES. ASK YOUR SALESMAN
CORES MUST BE RETURNED WITHIN 90 DAYS.
FREIGHT TAXABLE SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
25.41CR E IN 0.00 25.41CR
PAYMENT TERMS: Open accounts due and payable on or before the 10th day of the month following the
date of purchase. Any account beygp4l,71 these trCno Wil1�bG s�bjec� ,[o�-eie�¢aghold. A 1 -1/2 service charge per
CUSTOMER SIGNATURE month will be charged on past dtje D81ahc�s. l.. K LJ 1 I v
04:02 PCA INE00000NYYY- 0 /INT00000 -7 CREDIT MEMO
s.
i
f
uV OWEST O uUAKE W ER, VC INVOICE DATE
06/ 15/2012
INVOICE NO. PAGE
1140 S. West Street P.O. Box 2933 3120 Congressional Pkwy.
1221670037 1
A INDIANAPOLIS, IN 46206 -2933 FT. UVAVNE, IN 46808
CUSTOMER NO. BRANCH
Phone: (317) 632 -4487 Phone: (260) 482 -5243
www.mwbrake,com (800) 944 -9433 10099
1
SOLD i C 11°'Y OF CARMEL SHIP CITY OF CARMEL
TO S1'REI*T DEPT TO STREET DEPT
3400 W '131ST STREET 3400 W "131ST STREET
WESTFIELD IN 40074 WESTFIELD I( 45074
PLEASE REMIT TO: P.O. BOX 2933 INDIANAPOLIS, IN 46206 -2933
CUSTOMER P.O. R/S ORDER NO.
996478 MON (317) 733 -2001 •.JB 001/00 001
QUANTITY I PART NO. PRICE/PER I EXTENSION
4 EU E- 2759HD MEGA -PLUS HA-RDWARE KIT 18.99 8.47EA 33.88
k11<.l latitl* itlt l�# t. 11 'lttklt�ltt�tk�tll* ####k�t� #k
OUR DELIVERY OUR DELIVERY
#�1#. �kt�ltts�ttk# #��tktl;tkltititlt�tit#��t�#ttk
ORDER PICKED BY: JI /JB
EFFECTIVE 5/1/20 bJE WILL"NO LONGER GROUP 4515!
CORES WITH 4707QP CORES. ASK YOUR SALESMAN
0
CORES MUST BE RETURNED WITHIN 90 DAYS.
TAXABLE SUB TOTAL TAX TAX STATUS/STATE SALES TAX PLEASE PAY ssz�
33 E IN 0.00 331
PAYMENT TERMS: Open accounts due and payable on or before the I Oth day of the month following the
date of purchase. Any account beyond lthese to s ill b subjegt `o cr �0 hold: A 1 -1/2 service charge per
CUSTOMER SIGNATURE month will be charged on past due balances. 1'� 9 I I�l M U A
01: 04 PSI INE010000NYYY- 0 /INT00000 -7
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/13/12 1221650077 $709.20
06/15/12 1221670037 $33.88
06/15/12 1221670059 ($25.41)
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. W NO.
ALLOWED 20
Midwest Brake Wheel, Inc
IN SUM OF
P. O. Box 2933
Indianapolis, IN 46206 -2933
$717.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 1221650077 42- 370.00 $709.20 1 hereby certify that the attached invoice(s), or
2201 1221670037 42- 370.00 $33.88 bill(s) is (are) true and correct and that the
2201 1221670059 42- 370.00 ($25.41)
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 28, 2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund